Pediatric Dental RCM Using Your Existing Software
No forced software migrations. No generic medical billers who treat dental like healthcare. Just specialized pediatric revenue cycle management experts operating directly inside your Practice Management System to minimize denials, optimize collections, and secure your cash flow.
Most billing companies treat pediatric dental claims exactly like adult general dentistry. We don't. Pediatric revenue cycles are highly distinct—defined by massive patient volumes, intense state Medicaid frequency edits, and highly complex dual-coverage commercial plans. BackOffice DC steps in as a seamless, remote extension of your administrative team, operating natively inside the practice management software you already run to preserve absolute operational continuity.
Core Pediatric Workflows
Insurance Verification and Eligibility
We double-check all private insurance and state Medicaid rules 48 to 72 hours before the child's visit.
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Family Birthday Rules: We check which parent's birthday comes first to ensure the right insurance gets billed first.
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Custody Document Checks: We confirm court-ordered custody agreements so the right primary plan pays for the care.
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Job Status Tracking: We track active versus inactive jobs to significantly reduce the risk of insurance payment rollbacks.
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Claim Submission
Our team reviews and sends every single claim out within 24 to 48 hours of service.
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Error Spotting Checks: We check your local state rules to catch and fix mistakes before claims leave the office.
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Space Maintainer Details: We verify tooth letters and mouth areas are correct for all fixed space maintainer claims.
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Sedation Rule Double-Checks: We confirm proper child behavior notes and sedation updates are included to avoid immediate rejections.
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AR Follow Up and Denial Management
We look over your past accounts daily to collect unpaid money and fix insurance denials.
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Ledger Cleanups: We fix missing insurance payments, credit balances, and provider setup mistakes in your software.
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Daily Insurance Chasing: We track old, unpaid claims every day to execute complete pediatric dental AR management.
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48-Hour Denial Fixes: We gather doctor notes and digital X-rays to resubmit denied claims within 48 hours, targeting a Days Sales Outstanding (DSO) under 30 days.
Software Integration: We Operate Where You Work
We don't force you onto a proprietary platform or demand risky, expensive data migrations. Our certified dental billing specialists log directly into your existing infrastructure to manage your revenue cycle from the inside out:
Dentrix (G7 & Enterprise)
Natively managing your Family File, correcting ledger posting mistakes, updating eligibility indicators, and overriding automated Medicaid quantity edits via the Unresolved Claims manager.
Open Dental
Leveraging database query tools to build custom tracking scripts, trace primary-versus-secondary splits, and accurately manage complex dual-payer accounts.
Eaglesoft
Integrating seamlessly with Patterson’s SmartDoc and Vyne/NEA FastAttach to compile digital radiographs and append required validation numbers before claim transmission.
Dentrix Ascend & WinOMS
Driving efficiency across multi-site networks and specialty frameworks by centralizing billing rules, aligning multi-location fee schedules, and eliminating regional performance gaps.
Legal Notice: Dentrix, Eaglesoft, Open Dental, WinOMS, Patterson SmartDoc, and Vyne/NEA FastAttach are trademarks of their respective owners. BackOffice DC is an independent provider of revenue cycle management services and is not affiliated with, endorsed by, or sponsored by any of these third-party platform software vendors.
For Private Practices
Stop letting localized front-office turnover trigger a sudden cash flow crisis or leave you vulnerable to collection losses. We absorb the tedious, high-burnout administrative tasks like daily Medicaid revalidations, complex coordination of benefits, and aggressive claims chasing. This slashes your overhead costs and gives your in-house team the freedom to focus entirely on face-to-face patient experiences and filling the clinical schedule.
For Multi-Site DSOs
Standardize fractured billing protocols and eliminate operational fragmentation across newly acquired offices. We centralize your multi-location databases natively to elevate net collections, safeguard your organization against multi-state Medicaid compliance audits, and protect your EBITDA from costly write-offs and rising administrative labor expenses.
Stop letting administrative churn and rigid frequency edits dictate your practice cash flow.
Let our team show you exactly how we optimize your specific state's Medicaid and commercial workflows natively within your software.
